Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $400.10 / $400.10	Facility		$384.44	$400.10	$400.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.90 / $254.06 / $398.70	Professional		$188.90	$254.06	$398.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $515.02	Facility		$293.77	$293.77	$515.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $553.88 / $692.34	Professional		$293.77	$553.88	$692.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $453.80 / $477.68 / $573.89	Professional		$453.80	$477.68	$573.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $298.58 / $608.66 / $2,270.36	Facility		$298.58	$608.66	$2,270.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $294.79 / $639.70	Professional		$223.84	$294.79	$639.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $513.50 / $515.02 / $642.61	Facility		$513.50	$515.02	$642.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $450.43 / $601.61 / $984.20	Professional		$450.43	$601.61	$984.20
United Facility/Professional Facility Modifier Low / Median / High Price $676.80 / $676.80 / $1,099.80	Facility		$676.80	$676.80	$1,099.80
United Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $251.02 / $613.61	Professional		$223.84	$251.02	$613.61
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $458.84 / $458.84 / $458.84	Facility		$458.84	$458.84	$458.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $362.48 / $458.84 / $458.84	Professional		$362.48	$458.84	$458.84